HEALTH The Maybe ONE Advantage to Living Near the Border - Dental Care in Mexico

Seeker

3 Bombs for Hawkins
Facing rising dental costs, seniors head to Mexico
By ASTRID GALVAN
Associated Press

LOS ALGODONES, Mexico (AP) -- Mark Bolzern traveled 3,700 miles to go to the dentist. The 56-year-old Anchorage, Alaska, native left home this spring, made a pit stop in Las Vegas to pick up a friend, and kept heading south, all the way to Los Algodones, Mexico, a small border town teeming with dental offices.

About 60 percent of Americans have dental insurance coverage, the highest it has been in decades. But even so, the nation's older population has been largely left behind. Nearly 70 percent of seniors are not insured, according to a study compiled by Oral Health America. A major reason is because dental care is not covered by Medicare and many employers no longer offer post-retirement health benefits. What's more, the Affordable Care Act allows enrollees to get dental coverage only if they purchase general health coverage first, which many seniors don't need. At the same time, seniors often require the most costly dental work, like crowns, implants and false teeth.

As a result, many are seeking cheaper care in places like Los Algodones, where Mexican dentists who speak English and sometimes accept U.S. insurance offer rock-bottom prices for everything from a cleaning to implants. Dentists in Los Algodones say a large portion of their clients are seniors.

In the desert outpost near the border of California and Arizona, men in white shirts stand outside of offices with signs advertising root canals and teeth cleanings. Other signs advertise prescription drugs like muscle relaxers at low rates - no prescription needed.

For Bolzern, seeing a dentist in Los Algodones meant a savings of up to $62,000. He was told the extensive dental work he needed - his teeth needed to be raised and he needed a crown on every molar - would cost $65,000 at a private dentist. He looked for lower rates, finding a dental school where the work was less expensive because it was performed by students. But it still cost $35,000. He paid $3,000 in Mexico and has been back several times.

The cost of dental care has surged in the last two decades and continues to increase at a rate of 5 percent annually. Many dental plans have high deductibles and don't offer extensive coverage. Many people opt out.

Mexico has lower costs because of cheaper labor and fewer regulatory requirements. Residents in border towns like El Paso, Texas and Nogales, Sonora, often make the short drive to the Mexican side for basic medical needs and prescription medications that are much costlier in the U.S. Some businesses even offer shuttle services from the Phoenix area to Los Algodones, a nearly 200-mile ride.

Going abroad for cheaper health care is nothing new. Americans have been doing it for years, for everything from elective, cosmetic procedures to major, life-saving surgery. Matthew Messina, a practicing dentist and consumer adviser on behalf of the American Dental Association, said Americans who visit dentists in foreign countries should do a lot of research before they go. Different countries use different types of equipment, and some items, such as implants, may not have warranties. Malpractice lawsuits may not be an option.

Dentists in Los Algodones say they attend less school than their counterparts in U.S. but spend more time practicing clinical work. They say they practice the same safety standards as American dentists and have offices that are just as clean. José Obed Zuñiga has been a dentist in Los Algodones for a decade and found business was so good he opened his own shop about two years ago. "Everything, the quality, is very similar to the United States," Zuñiga said. "We see the work from the United States, and it's very competitive."

Aiti Gutierrez left her home in the state of Tamaulipas, Mexico, 1,400 miles away, to practice in a Los Algodones office that has four patient rooms and a lobby with a water-stacked mini-fridge. In the busy season, she sees about a dozen patients a day, and 12-hour work days aren't unusual. "They like to feel comfortable and that they're safe," Gutierrez said of her clients.

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Clown

Contributing Member
i have been talking to my wife for 2 years about going to mexico to get some inplants and some crowns...
 

MtnGal

Has No Life - Lives on TB
I've heard horror stories about the cleanliness of Mexican dentists. The mouth is a big gateway for infection.
 

ersatzpanther

Senior Member
From friends who've gone to Mexico for crowns, bridges, root canals, etc...you get what you pay for. They had to have it redone later in the USA.
 

Seeker

3 Bombs for Hawkins
Do the research first - there are also many who scrupulously clean, speak English better than many city dwellers, and do top-of-the-line professional work.

Isn't someone here on the forum dealing with severe issues right now because of botched dental work?
 
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cat killer

Senior Member
The bad part is you have to go to Mexico.
It will probably never happen that I will go to Mexico but if I do it will not be for anything medical unless I can smoke it.
 

bbbuddy

DEPLORABLE ME
DH got crowns there on all his front teeth, they look excellent and have lasted for about 7 years now without a problem....
 

Laurane

Canadian Loonie
I got a quote for $9,000 for implants and associated work which compared with $30,000 in Canada or AZ.

Started some of the work, but haven't completed it - just a bit of a bother to keep driving down there, but probably will go again this year.

Scrupulously clean and very professional and fun, is the description of my Dr. who was trained in Los Angeles and Geneva Switzerland. He did all the supervising of the younger dentist, who sang to me in Spanish while he was hammering the implant into the bone (not as horrible as it sounds and he had a nice voice and was a huge flirt and smiled a lot).

They all spoke excellent English except for the receptionist who gave me the bill, but paying $50 for a whole mouth x-ray and $50 for an extraction sure sounded better than the US alternative.

When you go to Algodones outside of Yuma AZ, you walk through a steel fence around a parking lot and you are in "old Mexico" with people selling all sorts of wares, paintings, stained glass, cheap mementos, pharmaceuticals and some little cafes with cheap beer and tequila. The place shuts down around 8pm as most of the foreigners are done with their medical/dental, and you just stay in a local motel in Yuma after going through US customs to re-enter AZ.

Not particularly problematic - but the crowds lining up to leave can be up to 90 mins toward the end of the day, so good to have something to drink - there are some benches for people to sit on as they wait to move up the line. People from our park often take a van load of people down specifically for medical etc and return that same day.

Often you are stopped by INS on I-10 as they are looking for Illegals - don't know if they still do much of that any more with the new directives from Obama, but it's a 30 second look into the vehicle and you're waved on your way.
 

Dennis Olson

Chief Curmudgeon
_______________
My real problem would be crossing the border into that hell-hole unarmed and defenseless.


No thanks.
 

Reasonable Rascal

Veteran Member
My partial I had done down there (Algodones) fits MUCH better than the original one done in the US. It's been 6 or 7 years now and it's doing fine.

Meds? Check, buy them and use them.

Lab work? Check. $80-85 gets me about $700 worth of labs (US cost). Lab work done there saved my kidneys from destruction last year when I found out NSAIDS (Motrin and Aleve) were killing what were previously well-functioning kidneys. It it hadn't been for cheap lab costs and a 'what the heck, I may as well check my cholesterol, etc' spur-of-the-moment decision I might be on dialysis. And before the naysayers chime in I was taking US-manufactured meds bought locally.

Algodones is not Nogales. No stray bullets winging across the border. Plenty of local constabulary who KNOW they have to treat the touristas right or the money pot the town is will dry up. And Mexican Army troops as well to back them, up. Believe it or not they also enforce politeness in the line heading towards the border. Some steroid-laden redneck was trying to cut in with his big 4x4 and arguing with the smaller guy (both Americans) he cut off, and ignoring the cop who was trying to sort it out. A Corporal stepped forward and just sort of started drumming his fingers on his H & K. Redneck figured it out but left behind a bit of blue air as he pulled out to find the end of the line again. He was cheered by the 'touristas' in line and thanked by the cop.

Have been across there literally dozens of time, had a lot of dental work done, buy meds for the lovely bride, eat anywhere we want without fear of bad water, buy souvenirs, get my boots shined by Daniel. And before I started this low-carb diet bought every Jarrito's Pina soda I could find.

RR
 

Seeker

3 Bombs for Hawkins
Again, do the research. Wouldn't go to Nogales or Juarez, but Algodones is a great little town, totally dependent upon the dental-optical crowd. This happened a few years back, but at the end of snowbird season, the merchants of a then-much-smaller Algodones gave a street party with mariachis and FREE barbeque for their snowbird friends.

Unfortunately, there are many more beggers now than in the past and far more sidewalk vendors. But the merchants continue to show mostly good humor and willingness to bargain and will knock themselves out to find the exact color T-shirt or pottery design you want. Food also is safe to eat - or at least at the well-patronized restaurants along the main streets. And the shoppers are predominantly seniors, stocking up on meds/prosaic, booze, new teeth and bifocals.

Crossing at certain times (you learn when they are and try to avoid them) can be tiresome if the line extends around the corner and up the hill. But Customs keeps 4 desks open and it moves along fairly fast. There are benches at strategic intervals to sit a bit and the street vendors can actually be fun as they offer you one last chance to buy-buy-buy! Sometimes even an accordian or guitar player will entertain you.
 

wirefox

Contributing Member
I've heard horror stories about the cleanliness of Mexican dentists. The mouth is a big gateway for infection.

My wife and I have been going to Nogales Sonora for about 5 years. The equipment is state of the art makes u.s. third world . The office is immaculate. Lab next door so some crowns can be done in one visit. I finally needed some work last year had 2 root canals w/ post and 3 crowns less $2100 $US. Got there at 9AM back through US Customs before 1PM. We are most satisfied have taken several friends for their first time going over the line everyone has become patients. We use parking lot U.S. side walk across can see our ride from dentist office. Driving not necessary and would bevmajor headache & need Mexican insurance . I really don't know how average Joe & Jane can have major dental work in US. Last crown no,post $350 . Cleaning done by dentist go every 4 months $35 with geezer discount. Dental assistant all fluent in English.
Hope this helps with some of the myths about professionalism, cleanliness etc

wirefox
 

Seeker

3 Bombs for Hawkins
Thanks, wirefox, for mentioning Nogales. Its been some time since anyone I know has gone there, so its good to hear your positive input.
 

Laurane

Canadian Loonie
Dr. Carlos Rubio - http://www.dentalrubio.com/

I was glad to see Dr. Cesar is also still there - he is the one who serenaded me......I know he does it to all the women.

There are others who are supposed to be even cheaper, but I was satisfied with the cost. And the technology looks to be upgraded too.
 

Seeker

3 Bombs for Hawkins
For anyone thinking about going to Mexico for dental work, there is a lot of information on the net. Dr. Rubio, mentioned above by Laurane, was educated at Loma Linda University in California. Here is a brief bio. I don't think he is still practicing, but the clinic is highly recommended and all staff diplomas are on display there.

(Also, at the link provided by Laurane, there is mention of a street celebration hosted by the clinic, so the tradition of thanking winter visitors apparently continues).

Academic Training

Dental training at the University of San Antonio, Texas
Implantology dentistry training at Brookdale Hospital, New York
Diploma from the Autonomous University of Baja California
Specialized courses at the Misch Institute
Advanced Diploma of Surgery from the South Carolina University
Course Management in soft tissue from the M.A.P. Florida Institute
Course Anatomy of the Head and Neck from the Medical College of Georgia
Master’s Degree of Laser Dentistry from the Institute of Technology, Monterrey, Nuevo Leon, Mex.

http://losalgodonesdentalguide.com/dr-carlos-rubio/
 

Reasonable Rascal

Veteran Member
Heading down there today, staying the night. I need dental and wife needs breathing meds, which cost an average of 150-250/month less PER MEDICATION than they do here, and half the time are the same, identical, US-made brand.

I may have to check in with this Rubio clinic. Just wish there was a taxi service down there. The distances aren't far but having an arthritic knee means planning your route and automatically disregarding some locations that are a block off the beaten path as it were.

RR
 

Reasonable Rascal

Veteran Member
I plan to check out a couple of the 'better' dentists. I have a couple I have used before, very good results save with one guy in the same office I had a great experience with.

Just hope Daniel is there to polish my boots this time. Have 2 pairs for him.

RR
 

changed

Preferred pronouns: dude/bro
from the OP: "The cost of dental care has surged in the last two decades" No kidding. I went to the dentist a couple of months ago and they said I needed a deep cleaning which would cost $1000. Are they friggin high?
 

TerryK

TB Fanatic
Thanks for the good info. I talked to some retired military who also said they all had good experiences.
Looks like the wife and I may schedule a trip after we do some more checking.
I have also heard that some of the clinics actually book you in an American hotel north of the border and pick you up in a van and take you back each day. Any info on this?
Also some further south actually have a deal worked out with nice Mexican resorts so you actually end up taking a dental vacation.


My partial I had done down there (Algodones) fits MUCH better than the original one done in the US. It's been 6 or 7 years now and it's doing fine.

Meds? Check, buy them and use them.

Lab work? Check. $80-85 gets me about $700 worth of labs (US cost). Lab work done there saved my kidneys from destruction last year when I found out NSAIDS (Motrin and Aleve) were killing what were previously well-functioning kidneys. It it hadn't been for cheap lab costs and a 'what the heck, I may as well check my cholesterol, etc' spur-of-the-moment decision I might be on dialysis. And before the naysayers chime in I was taking US-manufactured meds bought locally.

Algodones is not Nogales. No stray bullets winging across the border. Plenty of local constabulary who KNOW they have to treat the touristas right or the money pot the town is will dry up. And Mexican Army troops as well to back them, up. Believe it or not they also enforce politeness in the line heading towards the border. Some steroid-laden redneck was trying to cut in with his big 4x4 and arguing with the smaller guy (both Americans) he cut off, and ignoring the cop who was trying to sort it out. A Corporal stepped forward and just sort of started drumming his fingers on his H & K. Redneck figured it out but left behind a bit of blue air as he pulled out to find the end of the line again. He was cheered by the 'touristas' in line and thanked by the cop.

Have been across there literally dozens of time, had a lot of dental work done, buy meds for the lovely bride, eat anywhere we want without fear of bad water, buy souvenirs, get my boots shined by Daniel. And before I started this low-carb diet bought every Jarrito's Pina soda I could find.

RR

My wife and I have been going to Nogales Sonora for about 5 years. The equipment is state of the art makes u.s. third world . The office is immaculate. Lab next door so some crowns can be done in one visit. I finally needed some work last year had 2 root canals w/ post and 3 crowns less $2100 $US. Got there at 9AM back through US Customs before 1PM. We are most satisfied have taken several friends for their first time going over the line everyone has become patients. We use parking lot U.S. side walk across can see our ride from dentist office. Driving not necessary and would bevmajor headache & need Mexican insurance . I really don't know how average Joe & Jane can have major dental work in US. Last crown no,post $350 . Cleaning done by dentist go every 4 months $35 with geezer discount. Dental assistant all fluent in English.
Hope this helps with some of the myths about professionalism, cleanliness etc

wirefox

For anyone thinking about going to Mexico for dental work, there is a lot of information on the net. Dr. Rubio, mentioned above by Laurane, was educated at Loma Linda University in California. Here is a brief bio. I don't think he is still practicing, but the clinic is highly recommended and all staff diplomas are on display there.

(Also, at the link provided by Laurane, there is mention of a street celebration hosted by the clinic, so the tradition of thanking winter visitors apparently continues).

Academic Training

Dental training at the University of San Antonio, Texas
Implantology dentistry training at Brookdale Hospital, New York
Diploma from the Autonomous University of Baja California
Specialized courses at the Misch Institute
Advanced Diploma of Surgery from the South Carolina University
Course Management in soft tissue from the M.A.P. Florida Institute
Course Anatomy of the Head and Neck from the Medical College of Georgia
Master’s Degree of Laser Dentistry from the Institute of Technology, Monterrey, Nuevo Leon, Mex.

http://losalgodonesdentalguide.com/dr-carlos-rubio/
 

Reasonable Rascal

Veteran Member
Just got back from our overnight trip down there. Was unable to get in to the dentist I wanted, tried a couple others for an exam/quote only but the docs were already gone for the day (Saturday) so ended up at Baja Dental, whom I have used before, albeit it was a different doc this time. 2 x-rays, written quotation of proposed work, and cost me nada. Zippo. Zilch. Digital x-rays so they were available for viewing in about 3 seconds.

Funny thing, when we arrived this morning CVS Pharmacy had a cargo van unloading at least 2 (that we saw) handcarts full of boxes of medications at Luiqui's Pharmacy (otherwise known as the Purple Pharmacy).

Wife uses Breo, which is a daily respiratory maintenance med in inhaler form. Best price I have ever found on the 'net is $280 for a 30 day unit. They were $41 out the door down there, and picked up a couple that were dated for expiry next month for $30 each. We ended up with a 5 month supply for less than 1 month's cost here.

For comparison purposes: http://www.goodrx.com/breo-ellipta

RR
 
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Seeker

3 Bombs for Hawkins
Rascal, as you probably know, your wife can use the inhalers past their expiration date.

Shelf Life

The expiration date printed on pharmacy labels is generally one year after the prescription is filled. Albuterol is a popular medication that does not sit for long periods on pharmacy shelves; the merchant is continually reordering and restocking. It is unlikely that the medication is even close to the manufacturer's expiration date, which is considerably longer. While the argument could be made that one year from the time it is opened seems reasonable, if it is stored properly, albuterol should be safe and effective for several years, according to Lawrence Koenig, Pharm.D., proprieter of The Prescription Center in Indio, California. "I'd give it to my own family members," he said.


Read more : http://www.ehow.com/about_5817546_side-effects-out_of_date-albuterol.html
 

Reasonable Rascal

Veteran Member
Yes, I am. The inhalers she uses are a dry powder form rather than the aerosolized type such as Albuterol. We have longer-dated supplies so will just use the short-dated ones first. No problem, always willing to save another $22. And even if we didn't touch them for a couple of years we'd be okay.

It took years but I was finally able to find a copy of the original SLEP report the military did. Has many but not of the meds listed. It was published in a relatively obscure professional journal. Interesting findings.

RR
 

Taz

Deceased
When we lived in Baja we got all our meds, glasses and dental work done in Algodones. We also had a big Mexican dinner while there! This thread brought back a lot of good memories.
 

TurtleSpeed

Contributing Member
The practice I went to was very hygenic and that's something I am picky about because of my medical background. All instruments were taken out of sterile wrappers after being autoclaved, gloves worn and hands washed at appropriate times, dental rooms were very clean, all equipment was clean. Scrubs were clean, etc.
 

Yogizorch

Has No Life - Lives on TB
Here is a website of one of the many dentists available in Juarez, Mexico. This one like most accepts U.S. insurance and provides free transportation to and from their clinic from El Paso, TX. You can stay in an El Paso hotel and they'll pick you up and take you to your appointment and drive you back to your hotel afterward. Many dentists are U.S. trained and the facilities are on par with what you will find in the U.S. You can just do a search for Juarez, Mx dentists or any other city of your choosing. Here's the link to one website. http://dentistinjuarez.com/
 
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